{"title":"Relationship Between Perceived Psychological Empowerment, Clinical Leadership, and Quality of Work Life Among Chinese Nurses: A Correlational Study","authors":"Xiyan Gong, Cuicui Zhang, Yingyi Deng, Ying Zhong, Dongxia Liao, Qinying Jiang, Yuqin Chen, Changju Liao","doi":"10.1155/jonm/3643678","DOIUrl":null,"url":null,"abstract":"<div>\n <p><b>Aim:</b> To investigate the current state of work-related quality of life among Chinese nurses and to explore the mediating effect of clinical leadership between psychological empowerment and quality of work life.</p>\n <p><b>Background:</b> The quality of work-life significantly affects nursing team stability and the provision of high-quality care. Psychological empowerment and clinical leadership are considered influential factors in nurses’ work-life quality. However, there is a lack of large-scale studies investigating the relationships between these variables.</p>\n <p><b>Methods:</b> This nationwide cross-sectional study utilized a multistage stratified proportional sampling approach to select 2633 registered nurses with more than one year of work experience from 17 tertiary general hospitals in China. The data were analyzed using descriptive analysis, Pearson correlation analysis, and structural equation modeling.</p>\n <p><b>Results:</b> The quality of work-life score for nurses was 3.38 ± 0.67. Positive correlations were observed between clinical leadership and quality of work life (<i>r</i> = 0.470, <i>p</i> < 0.01). Psychological empowerment was also positively associated with quality of work life (<i>r</i> = 0.570, <i>p</i> < 0.01). The structural equation model revealed that psychological empowerment had a positive direct effect on the quality of work life (<i>β</i> = 0.587, <i>p</i> < 0.001), with clinical leadership playing an intermediary role, accounting for 8.42% of the total effect.</p>\n <p><b>Conclusion:</b> Nurses’ psychological empowerment was positively associated with the quality of work life and was partially mediated by clinical leadership. These results suggest that psychological empowerment and clinical leadership are key facilitators improving nurses’ work-life quality.</p>\n <p><b>Implications for Nursing Management:</b> Hospital managers should further raise awareness of empowerment among nurse managers, implement scientifically sound empowerment and clinical leadership programs for nurses, enhance nurses’ clinical leadership skills, and promote the quality of nurses’ work-life.</p>\n </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7000,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/3643678","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Nursing Management","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1155/jonm/3643678","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MANAGEMENT","Score":null,"Total":0}
引用次数: 0
Abstract
Aim: To investigate the current state of work-related quality of life among Chinese nurses and to explore the mediating effect of clinical leadership between psychological empowerment and quality of work life.
Background: The quality of work-life significantly affects nursing team stability and the provision of high-quality care. Psychological empowerment and clinical leadership are considered influential factors in nurses’ work-life quality. However, there is a lack of large-scale studies investigating the relationships between these variables.
Methods: This nationwide cross-sectional study utilized a multistage stratified proportional sampling approach to select 2633 registered nurses with more than one year of work experience from 17 tertiary general hospitals in China. The data were analyzed using descriptive analysis, Pearson correlation analysis, and structural equation modeling.
Results: The quality of work-life score for nurses was 3.38 ± 0.67. Positive correlations were observed between clinical leadership and quality of work life (r = 0.470, p < 0.01). Psychological empowerment was also positively associated with quality of work life (r = 0.570, p < 0.01). The structural equation model revealed that psychological empowerment had a positive direct effect on the quality of work life (β = 0.587, p < 0.001), with clinical leadership playing an intermediary role, accounting for 8.42% of the total effect.
Conclusion: Nurses’ psychological empowerment was positively associated with the quality of work life and was partially mediated by clinical leadership. These results suggest that psychological empowerment and clinical leadership are key facilitators improving nurses’ work-life quality.
Implications for Nursing Management: Hospital managers should further raise awareness of empowerment among nurse managers, implement scientifically sound empowerment and clinical leadership programs for nurses, enhance nurses’ clinical leadership skills, and promote the quality of nurses’ work-life.
期刊介绍：
The Journal of Nursing Management is an international forum which informs and advances the discipline of nursing management and leadership. The Journal encourages scholarly debate and critical analysis resulting in a rich source of evidence which underpins and illuminates the practice of management, innovation and leadership in nursing and health care. It publishes current issues and developments in practice in the form of research papers, in-depth commentaries and analyses.
The complex and rapidly changing nature of global health care is constantly generating new challenges and questions. The Journal of Nursing Management welcomes papers from researchers, academics, practitioners, managers, and policy makers from a range of countries and backgrounds which examine these issues and contribute to the body of knowledge in international nursing management and leadership worldwide.
The Journal of Nursing Management aims to:
-Inform practitioners and researchers in nursing management and leadership
-Explore and debate current issues in nursing management and leadership
-Assess the evidence for current practice
-Develop best practice in nursing management and leadership
-Examine the impact of policy developments
-Address issues in governance, quality and safety
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
